Deck 1: Using Evidence in Nursing Practice

Question 1

In which database would biomedical and pharmaceutical studies be found?

A) EMBASE
B) PsycINFO
C) MEDLINE
D) CINAHL

Answer 1

EMBASE

Question 2

A study is being conducted comparing a group of normal-weight postmenopausal women not receiving any hormone treatment with a group of obese postmenopausal women not receiving any hormone treatment to determine the incidence of changes in bone density of the lower spine (L4 and below).Which type of study would this be?

A) Qualitative
B) Case-controlled
C) Descriptive
D) Quality improvement

Answer 2

Case-controlled

Question 3

MATCHING
Health care providers often confuse evidence-based practices, research, and performance or quality improvement activities. They each contribute to the improvement of patient care in different ways. Match the description below with the type of activity it most closely represents.

3. Research

A)The nurse implements a set of guidelines to reduce falls after an extensive review of the literature.
B)The nurse investigates a new falls reduction strategy and measures its ability to reduce falls.
C)The nurse implements a process in her unit to ensure all patients receive a falls risk evaluation upon admission.

Answer 3

The nurse investigates a new falls reduction strategy and measures its ability to reduce falls.

Question 4

MATCHING
Health care providers often confuse evidence-based practices, research, and performance or quality improvement activities. They each contribute to the improvement of patient care in different ways. Match the description below with the type of activity it most closely represents.

1. Performance improvement

A)The nurse implements a set of guidelines to reduce falls after an extensive review of the literature.
B)The nurse investigates a new falls reduction strategy and measures its ability to reduce falls.
C)The nurse implements a process in her unit to ensure all patients receive a falls risk evaluation upon admission.

Question 5

The nurse researcher is trying to determine the strongest type of research.Which type of research would the nurse choose?

A) Randomized controlled trials
B) A qualitative study
C) A descriptive study
D) A case-controlled study

Question 6

The nurse is conducting clinical research and needs to obtain relevant databases.Whom should the nurse contact?

A) The physician whose patients may be involved in the study
B) The medical librarian
C) The nurse manager of the unit where the study will be conducted
D) The director of nursing of the facility

Question 7

The nurse is conducting research on decreasing the incidence of pressure areas.Which parts of an evidence-based article would give the nurse enough information to determine if the article would be of help in the research? (Select all that apply.)

A) Design of the study
B) Narrative
C) Abstract
D) Literature review
E) Results
F) Introduction

Question 8

Why is piloting a practice change after conducting a study the best approach to change?

A) It ensures that all of the patients involved will benefit from the change.
B) It helps identify any issues with implementation on a limited basis.
C) It facilitates communication among all of the participants.
D) It provides better acceptance by personnel reluctant to change.

Question 9

MATCHING
Health care providers often confuse evidence-based practices, research, and performance or quality improvement activities. They each contribute to the improvement of patient care in different ways. Match the description below with the type of activity it most closely represents.

2. Evidence-based practice

A)The nurse implements a set of guidelines to reduce falls after an extensive review of the literature.
B)The nurse investigates a new falls reduction strategy and measures its ability to reduce falls.
C)The nurse implements a process in her unit to ensure all patients receive a falls risk evaluation upon admission.

Question 10

When collecting the best evidence,what should the nurse use as external evidence? (Select all that apply.)

A) Scientific literature
B) Agency policy and procedure manuals
C) Clinical practice guidelines
D) National guidelines
E) National benchmarks
F) Quality improvement data

Question 11

What does the "I" indicate in a "PICO" question?

A) Intervention of interest
B) Incorporation of concepts
C) Implementation by nursing
D) Interest of personnel

Question 12

A nursing educator is explaining how the best clinical practices are determined.Which statement best explains the purpose of evidence-based practice?

A) It ensures that all patients receive holistic care.
B) It provides a definite reason for providing care in a specific manner.
C) It prevents errors when care is being delivered.
D) It guarantees that care delivered is based on research.

Question 13

Which database contains clinical guidelines systematically developed for a specific set of circumstances involving a specific patient population?

A) MEDLINE
B) CINAHL
C) Cochrane Data of Systematic Reviews
D) The National Guideline Clearinghouse

Question 14

Which question would be the best example of a knowledge-focused trigger?

A) What is the best method for treatment of leg swelling when a patient is taking gabapentin (Neurontin)?
B) How can we decrease the incidence of skin cancer in adults over the age of 65?
C) What is the current evidence for improving oral intake for cancer patients with stomatitis?
D) What is the maximum length of time our hospital allows irrigation kits to be used?

Question 15

What is the nurse attempting to determine when critiquing the evidence?

A) If the potential study is ethical to conduct
B) If there is enough evidence to ask a PICO question and change practice
C) If there are any experts in the clinical area to be researched
D) If the study is cost-effective if a change in practice occurs

Question 16

Which question is a problem-focused trigger?

A) What is known about reduction of urinary tract infections in the older adult with diabetes?
B) How can chronic pain best be described when the patient is nonverbal?
C) How long can an intravenous catheter remain in place in an obese patient?
D) What measures can the nurse take to reduce the rising incidence of urinary tract infections on the elder care unit?